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  Vol. 149 No. 7, July 1989 TABLE OF CONTENTS
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The Deadly Quartet

Upper-Body Obesity, Glucose Intolerance, Hypertriglyceridemia, and Hypertension

Norman M. Kaplan, MD

Arch Intern Med. 1989;149(7):1514-1520.


Abstract

• The contribution of obesity to cardiovascular risk has not been adequately appreciated because of a failure to recognize the involvement of upper-body predominance of body weight with hypertension, diabetes, and hypertriglyceridemia even in the absence of significant overall obesity. This article examines the evidence that upper-body obesity, as usually induced by caloric excess in the presence of androgens, mediates these problems by way of hyperinsulinemia. Because of these interrelationships, there is a need to identify and prevent upper-body obesity or, failing that, to provide therapies that will control the associated problems without aggravating hyperinsulinemia.

(Arch Intern Med. 1989;149:1514-1520)



Author Affiliations

From the Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas.


Footnotes

Accepted for publication March 27, 1989.

Reprint requests to Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75235-9030 (Dr Kaplan).



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